| NPI | 1619412798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 75029) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.018502) |
| Enumeration Date | 2016-12-28 |
| Last Update Date | 2022-07-21 |